Provider Demographics
NPI:1356726681
Name:SODARO, PATRICIA PERROTTA (RN NP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:PERROTTA
Last Name:SODARO
Suffix:
Gender:F
Credentials:RN NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41607 MARGARITA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-2984
Mailing Address - Country:US
Mailing Address - Phone:951-719-3233
Mailing Address - Fax:951-719-3213
Practice Address - Street 1:5480 BUENA VISTA DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2255
Practice Address - Country:US
Practice Address - Phone:469-464-5133
Practice Address - Fax:972-292-0301
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA295731 3533163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory